Chest x-ray, 2 things
Posted By: Dana on 2009-02-27
In Reply to:
Subject: Chest x-ray, 2 things
I am hearing what sounds like "tracheous midline", and the next sentence says sounds like "cardiacs are wet". Can't find any of these. Any clues?
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Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
excurvatum. No sure of "free of dull suspence straight"
Can't do that, as these things are sm
Subject: Can't do that, as these things are sm
not in my old books but this MedCompare site has trademarked links etc.
http://www.medcompare.com/news.asp?newsid=121708
things it might be
Subject: things it might be
PROCEDURE: Medial branch block of the L4-5 and L5-S1 facets on the right under fluoroscopic guidance. Might just be saying that is the scheduled procedure.
(ob-suse) might have started saying operating suite?
And probably should be prone position.
Could be two things, sm.
Subject: Could be two things, sm.
If the doc is excising the area, they will say "wide local excision" or "wide excision" for short. If talking about a scar, sometimes the scar becomes wider with time so it would be "widened incision."
I think they are two different things
Subject: I think they are two different things
MU would be milliunits which is, I believe, one thousandth of a unit. This is millions of units. I think??
Things to try:
Subject: Things to try:
googling "unison antibiotic" or "unison medication," or
doing a search in Stedman's for "un*s*n"
or using WebMD
http://www.webmd.com/drugs/index-drugs.aspx
-- when I put the letters "un" into the search box, the 3rd item is "Unasyn IV.
I use the 'd for things like that OR you can
Subject: I use the 'd for things like that OR you can
say the patient was brought by air-vac to XXX or something to that effect.
Might be several things. sm
Subject: Might be several things. sm
"but as per patient these were thought to be stable? or benign?
"but according to the patient =======
It can mean other things too...sm
Subject: It can mean other things too...sm
Here is a link to check out:
http://www.fairview.org/healthlibrary/content/ca_hemodyna_car.htm
There are many reasons why hemodynamics are affected. It is not just limited to blood pressure, but that is one of the top answers and a very good answer. 
2 things...
Subject: 2 things...
is there a such thing as "S and wave changes"
also, s/l "pre-lectrical-thiket function is normal". These are from a stress test which is stressing me out!
thank you - another one of those things that's
Subject: thank you - another one of those things that's
difficult to verify on the web, ya know!
Sorry, but things have changed...
Subject: Sorry, but things have changed...
Just as people and the world have evolved, so has English. 'Were' would now be considered correct.
I do realize it's not the grammar rule we were taught back in our school days.
bye.
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm
I used a small, tiny, little Q-tip .... and he doesn't want me to change it. Bizarre!!!
Could be many things...need more info
Subject: Could be many things...need more info
/
yup...stays...things we have to know in this job :) sm
Subject: yup...stays...things we have to know in this job :) sm
here's a link that explains
http://www.corsetsandcrinolines.com/tidbits.php?index=10
things are changing sm
Subject: things are changing sm
for whose benefit? So the AAMT can profit from more book sales. 15 year MT here--never have and never will buy into AAMT.
Lots of things it could be, unfortunately. Why do you think
Subject: Lots of things it could be, unfortunately. Why do you think
s
I use OneLook for looking things up.
Subject: I use OneLook for looking things up.
chorioamnionitis (cho·rio·am·ni·o·ni·tis) (kor”e-o-am”ne-o-ni´tis) inflammation of the chorion and amnion.
Numbers for most things now, but it's still up to what
Subject: Numbers for most things now, but it's still up to what
s
ok, thanks i am hearing things again.
Subject: ok, thanks i am hearing things again.
a couple of things......SM
Subject: a couple of things......SM
Jehovah's Witness
myoclonic gammopathy? not myoclinic
possibly *gammopathy*
*h* in Jehovah's Witness
There's a whole host of things it is used for (sm)
Subject: There's a whole host of things it is used for (sm)
Drug Name Therapeutic Category
Amantadine HCl 100mg; tabs. Central Nervous System > Parkinsonism
Amantadine HCl 100mg; tabs. Infections & Infestations > Amantadine HCl 50mg/5mL; raspberry flavor. Central Nervous System > Parkinsonism
Amantadine HCl 50mg/5mL; raspberry flavor. Infections & Infestations > Viral infections, Hyperacidity, GERD, and ulcers.
We use 'd on lots of things they say.
Subject: We use 'd on lots of things they say.
x
Here are a few things they say. Vibration? sm
Subject: Here are a few things they say. Vibration? sm
Mental status: Alert and oriented x 3; speech, naming, and recall intact ... Sensation: pinprick and vibration intact throughout.
Sensory examination is intact to vibration, position, light touch, pinprick, and temperature.
I found two different things
Subject: I found two different things
it could be.
1. TLC (Therapeutic Lifestyle Changes). It's a diet, found it at this website: http://www.americanheart.org/presenter.jhtml?identifier=4764
2. The thing I found said TLC stood for total lung capacity.
Allergies among other things
Subject: Allergies among other things
When I started in transcription there was a saying my boss would always quote and that was WHEN IN DOUBT, LEAVE IT OUT. It's better to put a blank and have QA figure it out or even have the doctor fix it instead of putting the wrong information.
Hmm, some docs say strange things
Subject: Hmm, some docs say strange things
new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
i think y'all should google things first...sm
Subject: i think y'all should google things first...sm
it came up in google in a split second.....I think y'all should make an effort first, i.e., googling things, before leaning on mtstars for all your answers.....
jes' sayin' 
well,if it means several things, you have a chance of
Subject: well,if it means several things, you have a chance of
Per BOS, it is acceptable to use standard abbreviations in body text (like I&D'd) but not in diagnosis, impression, plan, recommendation, operative header, etc.
These two things you mentioned are not procedures or sm
Subject: These two things you mentioned are not procedures or sm
operations themselves.
Could be, as it is prescribed for a whole host of things, other than indicated in PDR, such as
Subject: Could be, as it is prescribed for a whole host of things, other than indicated in PDR, such as
depression and chronic pain. Could have been prescribed for the GI-distress as mentioned in the dictation.
I just tried googling all sorts of things....sm
Subject: I just tried googling all sorts of things....sm
but, unfortunately, I came up with nothing - sorry, I tried.......someone else perhaps?
Yes! Those two things drive me crazy!
Subject: Yes! Those two things drive me crazy!
It always used to be tendonitis, now the change.
And you say extend/extension so why not distend/distension?
When I first started transcribing again after a hiatus of about 15 years, I had to put "distension" in my AutoCorrect so that it would automatically change it to "distention" until I could get used to it.
Sorry for those extra things !! s/l "true"
Subject: Sorry for those extra things !! s/l "true"
x
No info to tell, just a consult of many things
Subject: No info to tell, just a consult of many things
Depends on a couple of things
Subject: Depends on a couple of things
The first point would be the hospital's desires. They may or may not want abbreviations spelled out in a report. Also, usually if it's in a diagnosis somewhere, it almost always has to be spelled out, as most hospitals abide by the joint commission rule of no abbreviations. In a regular physical exam somewhere in the text of the report, most hospitals, clinics, etc., seem to want whatever abbreviations the doc may use, so in that case you would just leave it as it is (although this may differ in correspondence as some places prefer a more formal policy of no abbreviations in letters, so check account specifics).
Should we expand things like MRI and CT in diagnosis? SM
Subject: Should we expand things like MRI and CT in diagnosis? SM
After getting some things back from QA, I am a little unsure on this. Thanks.
I agree, 3 separate things. nm
Subject: I agree, 3 separate things. nm
.
thanks, It is nice to have some corroboration on these things. nm
Subject: thanks, It is nice to have some corroboration on these things. nm
,,
And, to make things more complicated there
Subject: And, to make things more complicated there
x
honey, they say a lot of things, some of which are not words. NM
Subject: honey, they say a lot of things, some of which are not words. NM
Considering they change things every edition . . . sm
Subject: Considering they change things every edition . . . sm
I'd stick with the national standard for clarity's sake unless instructed to stringently follow BOS. There is staging that is very involved and would look convoluted without spacing in my opinion; i.e, pT2a pN3 MX, etc.
different things..in this scenario I'd flag if you can't tell.
Subject: different things..in this scenario I'd flag if you can't tell.
Pressor support is the use of adrenaline-like medications to maintain the blood pressure and cardiac output above a certain level. Usually used in patients who might otherwise have too low blood pressure or go into shock.
Pressure support is the ventilator.
Thanks...thought I was hearing things?? lol
Subject: Thanks...thought I was hearing things?? lol
Just neti pot. These things work!!! nm
Subject: Just neti pot. These things work!!! nm
Stranger things have been heard..
Subject: Stranger things have been heard..
that have turned out to be correct. Have a case of BES??? ;-)
amazing! thank you. I thought i was hearing things
Subject: amazing! thank you. I thought i was hearing things
I have found several things but nothing that sounds like what I hear.
Subject: I have found several things but nothing that sounds like what I hear.
Guess I will have to leave this for someone else to figure out.
You're welcome...just happened to be scoping things out!
Subject: You're welcome...just happened to be scoping things out!
:-)
Maybeit will help to remember that sometimes we read more into things than we should....
Subject: Maybeit will help to remember that sometimes we read more into things than we should....
x
I did a Google and found things similar
Subject: I did a Google and found things similar
not exact but close enough
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